Refraction revealed plano results in each eye at distance with 20/20 visual acuity. The medical, family, and personal histories were all noncontributory. She had relocated recently to the area and was advised to seek regular evaluation because of a “retinal problem that could lead to retinal detachment”-the specific name of which she could not recall. Case 2Ī 30-year-old woman attended for periodic ophthalmic evaluation. He was asked to return in 1 year or sooner if symptoms, as reviewed, developed. The patient and his parents were made aware of the findings and admonished of the symptoms and risks of retinal detachment. No other retinal abnormalities were observed in either eye. Observation of the peripheral retina revealed lattice retinal degeneration (LRD) as illustrated in Figure 1 for the right eye, which was similar for the left eye. Dilated fundus examination revealed clear media, distinct optic disc margins, appropriate course and caliber of the retinal vasculature, and present foveal reflex in each eye. Applanation tonometry was measured at 14 mm Hg and 16 mm Hg in the right and left eye, respectively. Examination of the anterior segment was unremarkable. Ocular alignment showed no evidence of tropia with appropriate accommodative response. Refraction revealed compound astigmatism (OD, +1.50 to 2.00 X 090 OS, +1.75 to 2.00 X 090) with visual acuity correctable to 20/20 in each eye. The only significant complaint was distance blur as evidenced by difficulty seeing at distance in his classroom. An 11-year-old patient attended for his first ophthalmic evaluation.
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